Individual
LINO LEONARDO DE JESUS CONCEICAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2940 N CHURCH ST STE 303, LAYTON, UT 84040-6617
(801) 935-4171
Mailing address
2940 N CHURCH ST STE 303, LAYTON, UT 84040-6617
(801) 935-4171
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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